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03-94-' 15 15:51 FROM- eps Envi ronmenta1 661-322-88830 T-454 P0008/0012 F-956 <br /> RECEIVEL) <br /> Applicable Certifications APR 08 2015 <br /> ENVIRONMENTAL <br /> PARTLY. AutharizeaRepresentative <br /> (Boaby@OrcAan Pro6lnNumbor NT <br /> scend linetremNamheraeroclakd mllh wee(e ahlpmanl <br /> FM6 <br /> C913CKTU13APPROPRYATR CBRTIPICAMN <br /> X 1. Oenerntor's Certlaceiffon(2617(a)(2)(Q for waste that meets TreattriaxitsiandaraE <br /> I otairyunderpanal(y of lawthatlporcoaal(yhave oxamtaed and amfandfluwith thowaote ihroughanelycis <br /> and tosting or thrtuglt IMDWladga of the Waste to Support this certification lhat the waste tomplies wldi the troslroant <br /> standards specified in 40 CER,Part 268 Subpattl)and all applicable prohibitions satfbrth in 40 CPR2G&32 or PCCtr1, <br /> SectioO004(d). I bel6yetbatthein&rmn6onrcubmittedistrue,awuratoandwmpiete, Iamawarothat there arc <br /> significant penaldes for submitting a false csttiticallon,including the posalbility of fine and imprisonment. <br /> 2. Wasla Treated to Remove CharaoterisOca(268,7(b)(5)(iv)) <br /> I certify under penalty of law thattho waste has boon treated is accordance with tho requirementa of40 QX 268AO 10 <br /> remove the 14zavdous chatatteriado, "this deohatactefixod wasto eon(alns underlykg hazardous eonutituentc the( <br /> reriuirefurthaC treatment to mectunivasaltreaanenCeteadards, Iamaware that lharo atesignifioarapenalties for <br /> aubmltdog a tblse aerdffcation including the possibility offinc and impsigonnamt <br /> 3. )DArlsTreated to mtatAlternative Standards(268.7(d)(3)gii)) <br /> '(cex*under penaltyoflawihatthe dabrlshasbeen trestedInaecordancaWitlid,srequirementsof40CPA268,45, I <br /> am aware that there are algnrt'icant peaalties formulang a false cartfficalion ivafading the posslbllity of Gnoaad <br /> iraprieotmra¢L <br /> • 4. Gab Packs to bo Treated by1ncineraiton(Certification must be completed.)AppendizMab Packs <br /> leer*under ponaliyof law dtwt I bave peraonalfy extuniued andamfamillar with the waste and that Ore lab pack <br /> contains only wastes wM4 havenot been exoludod undarAppnndiz 1V 10 40 CPR Part 268 or solid waetea nor subject <br /> to regulation,uadar-40 CPR part 201-, lam atvarc that the c ore signiGaantpe¢altiea ibr submitting a false ce tiGoetion <br /> facludingthe possibif(ryoffiueorimprleoament. <br /> 5. Appaudtx V 144);'nolo <br /> I certify loader panaliy oflaw that Iperaond yhave-exaraked and Amfxntiliarwith the waste tbrough aaab.sis tou ft or <br /> through knowledge of the waste and that Ota lab pack contains only organic,waste specified in AppendkY to port 268 <br /> or solidwastesuotaabjea[toregulatlonuadorPartZ61. Iamaware thamereare signif untPenalties for sabmininga <br /> false certification,laolit0ag the possibility of kc,or imprisonment, <br /> Signature Motplame <br /> bate <br /> 3 at5 <br />